PEDIATRIC DENTAL ANESTHESIA ASSOCIATES, LLC

NPI # 

Practice Address:

3408 State Road 13

Saint Johns, FL, 32259-9270

Practice Phone:

904-230-3188

Practice Fax:

904-230-3189

License Number:

L08000008171

License State:

FL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Ambulatory Surgical

Taxonomy Code:

261QA1903X